Active NPI
Alan Bloomberg MD PC
Doing business as Albany Multi-Medicine Group
- Emergency Medical Services (Emergency Medicine) Physician
- Albany, NY
National Provider Identifier
1396839486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- ALAN BLOOMBERG MD PC
- Doing business as
- Albany Multi-Medicine Group
- Practice address
- 1694 Central Ave
Albany, NY 12205 - Phone
- (518) 869-3884
- Fax
- (518) 869-6030
- NPI assigned
- Oct 3, 2006
- Last updated
- Jun 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ericka H. Jensen
- Title
- Office Manager
- Phone
- (518) 869-3884
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | NU | ||
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | NU | Primary | |
| Physical Therapist | 225100000X | NU |
Addresses
Primary practice location
1694 Central Ave
Albany, NY 12205
Mailing address
1694 Central Ave
Albany, NY 12205
Phone (518) 869-3884
Other names 1
- Albany Multi-Medicine Group
National Provider Directory
National Provider DirectoryLocations
1694 Central Ave
Colonie, NY 12205
Phone (518) 869-3884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339977600000",
"number": "1396839486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1694 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12205",
"telephone_number": "518-869-3884",
"fax_number": "518-869-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1694 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12205",
"telephone_number": "518-869-3884",
"fax_number": "518-869-6030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN BLOOMBERG MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2012-06-18",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "ERICKA",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "518-869-3884",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Albany Multi-Medicine Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.